Can the US health care system “ pull an Italy? ”
by MATTHEW HOLT
There has been a ton of analysis about COVID-19 and how bad it will get. Some like Joon Yun and Jeremy Faust say the panic is worse than the disease. Others have run the infection rate numbers and predicted that the US will run out of hospital capacity in early May and in Washington state much earlier (end of March).
But there’s no doubt that in the last week or so, sentiment has changed. This week I and 45,000 of my best friends are at home, not at HIMSS in Florida. Many big gatherings like SXSW, Comic-Con and Coachella have been cancelled. Most corporations that can are asking employees to wor...
Source: The Health Care Blog - March 10, 2020 Category: Consumer Health News Authors: matthew holt Tags: CORVID-19 Health Policy Italy Source Type: blogs
Is medicine a minefield of gender discrimination and abuse?
I am a 57-year-old female physician, and I remember an incident that involved a cardiologist on the other end of the phone, roughly fifteen years ago. I had recently started work as a hospitalist, and the cardiologist and I had never met. He clearly didn ’t pay attention to my introduction, because when he heard my […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 9, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/danielle-reznicsek" rel="tag" > Danielle Reznicsek, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs
Start a hospitalist program with these 6 steps
Just to give you my background, I manage a large hospitalist program for a busy downtown community hospital that is part of a large health system consisting of a total of 29 acute care hospitals in the same geographical area. One of the reasons why our team was hired recently to manage this hospitalist program […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 8, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/rahulkumar-singh" rel="tag" > Rahulkumar Singh, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs
Here ’s How We Did It: Eliminating Barriers of Early Medical Education Scholarship
Although a randomized, controlled education study may be the ultimate goal in medical education research, a new attending physician may not possess the confidence, experience, or skills to do so in year one. In our Academic Medicine Last Page “Hit the Ground Running: Engaging Early-Career Medical Educators in Scholarly Activity,” we encourage our physician colleagues to broaden the scope of what counts as medical education scholarly work by presenting four tips for learning the landscape, four types of presentation-based work, and four types of publication-based work in order of complexity. To supplement this guide, he...
Source: Academic Medicine Blog - February 18, 2020 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective faculty development medical education scholarship mentorship scholarly publishing Source Type: blogs
Inspector General Advises Consent, Not Mere Assent, to DNR Orders
In late January 2020, the Department of Veterans Affairs Office of Inspector General published an inspection report criticizing the manner in which a physician obtained consent for DNR orders.
In contrast to significant other guidance, it appears that the OIG is suggesting that an "assent" approach to DNR orders is inappropriate. The OIG determined that the physician failed to engage in a "collaborative discussion with family involvement to include patients’ preferences and quality of life" and that this "likely led to the requests for a reversal of the DNR orders."
For one patient, the physician documented the ...
Source: blog.bioethics.net - February 6, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
The Social Context and Vulnerabilities that Challenge Health Care in the San Joaquin Valley of California
By ALYA AHMAD, MD
Call it what you want, white privilege and health disparity appear to be two sides of the same coin. We used to consider ethnic or genetic variants as risk factors, prognostic to health conditions. However, the social determinants of health (SDOH) have increasingly become more relevant as causes of disease prevalence and complexity in health care.
As a pediatric hospitalist in the San Joaquin Valley region, I encounter these social determinants daily. They were particularly evident as I treated a 12-year old Hispanic boy who was admitted with a ruptured appendix and developed a complicated abscess,...
Source: The Health Care Blog - February 4, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health disparities Medical Practice Patients Alya Ahmad California health disparity health equity San Joaquin Valley SDoH Social Determinants of Health Source Type: blogs
A patient who touches your heart in unexpected ways
I ’m a pediatric hospitalist, and I know that most days in the hospital are routine. But every once in a while, a patient pierces through your armor, and touches your heart in totally unexpected ways. Willow did that to me. Willow was five days old and had been admitted because her breathing was not quite […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 11, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ann-f-beach" rel="tag" > Ann F. Beach, MD < /a > < /span > Tags: Physician Critical Care Pediatrics Source Type: blogs
IllumiCare Report Finds More Providers Result in Longer Hospital Length of Stay (Interview)
When a hospitalized patient is engaged by more than three actively involved providers, the patient’s length of say (LOS) increases by a little over half a day for each additional provider. The correlation exists even when risk-adjusting with disease-related groups (DRGs) and it’s agnostic to the type of additional provider and whether those providers represented one or many different specialties. These are just some of the findings highlighted by Another Doc, Another Day, a recent report published by IllumiCare, an EMR app development company based in Birmingham, Alabama. With an average cost per hospital day o...
Source: Medgadget - December 19, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: Critical Care Exclusive Informatics Medicine Source Type: blogs
Obesity Week 2019
I had the chance to attend Obesity Week 2019 in Las Vegas from November 3-7. Obesity is not really a topic or area that I had much exposure to during training. But in the past few years I have wished that I knew more about it. After residency I worked exclusively in the inpatient setting as a hospitalist. For those of you unfamiliar with this term, it means that I only worked in the hospital treating patients who were sick enough to be admitted in the hospital. During this time I would frequently encounter patients with chronic medical conditions, many of which would improve with significant weight loss. But the extent of ...
Source: JeffreyMD.com - December 6, 2019 Category: Internal Medicine Authors: Dr. Jeff Tags: After Residency My Life education lifelong learning medicine obesity Source Type: blogs
Obesity Week 2019
I had the chance to attend Obesity Week 2019 in Las Vegas from November 3-7. Obesity is not really a topic or area that I had much exposure to during training. But in the past few years I have wished that I knew more about it. After residency I worked exclusively in the inpatient setting as a hospitalist. For those of you unfamiliar with this term, it means that I only worked in the hospital treating patients who were sick enough to be admitted in the hospital. During this time I would frequently encounter patients with chronic medical conditions, many of which would improve with significant weight loss. But the extent of ...
Source: JeffreyMD.com - December 6, 2019 Category: Internal Medicine Authors: Dr. Jeff Tags: After Residency My Life education lifelong learning medicine obesity Source Type: blogs
A healthy 30-something presented with nausea, vomiting, benign positional vertigo and atrial fibrillation
A healthy 30-something presented with nausea, vomiting, vertigo and atrial fibrillation. The vertigo is triggered by head movement and relieved by holding still. He has severe nausea with it, and epigastric discomfort.He had an ECG recorded because epigastric discomfort can be due to inferior MI:This patient is healthy and on no medications.His electrolytes are normal.He does not drink alcohol or use drugs.Thyroid was not checked, as A Fib from thyroid would be very rapid.What is unusual here, and why?What is the likely cause of the atrial fibrillation?There is no real evidence of ischemia.There is atrial fibri...
Source: Dr. Smith's ECG Blog - November 4, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs
A patient predicted her tragic future
I’d been told in my hospital sign-out that Melanie was transgender, but I stumbled on the first day and referred to her as“he” in front of my medical team.“She!” she said immediately.“Oh, man,” I thought to myself. I was a hospitalist teaching medical students at one of the most liberal medical schools […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - September 16, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/marcia-glass" rel="tag" > Marcia Glass, MD < /a > < /span > Tags: Physician Emergency Medicine Pain Management Source Type: blogs
